Multiwavelength spectroscopic study of shock driven phenomena in explosive outbursts in symbiotic-like recurrent novae with emphasis on RS Ophiuchi

To detail the development of RS Ophiuchi and the other Galactic Symbiotic-like Recurrent Novae throughout their outburst and quiescence, with a particular emphasis on the propagation of the shock wave during the outburst of the binaries. The spectral analysis has been performed using archival data according to the features of the individual datasets. Swift grism spectra were reduced and extracted using a combination of the pre-existing UVOTPY Python routine and newly written pipelines in Matlab. Other datasets were directly available in reduced form, already corrected for instrumental or background contamination, calibrated in wavelength and flux or intensity. The work on these was done through pipelines suited for reading the data and elaborating them to extract quantities of interest for the analysis. We find striking similarities in different outbursts of the same object and for different novae. For example, RS Oph 2021 was almost identical to the 2006 outburst, despite having occurred at a different orbital phase with the observations made from a different line of sight through the red giant wind. Despite the intrinsically different properties of the binaries, striking similarities are found for different systems of the same class, for instance, that the trend of the electron density over time during outburst appears to follow a general temporal development.Comment: 20 pages, 40 figure

Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990-2015 : a novel analysis from the Global Burden of Disease Study 2015

Background National levels of personal health-care access and quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care (ie, amenable mortality). Previous analyses of mortality amenable to health care only focused on high-income countries and faced several methodological challenges. In the present analysis, we use the highly standardised cause of death and risk factor estimates generated through the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) to improve and expand the quantification of personal health-care access and quality for 195 countries and territories from 1990 to 2015. Methods We mapped the most widely used list of causes amenable to personal health care developed by Nolte and McKee to 32 GBD causes. We accounted for variations in cause of death certification and misclassifications through the extensive data standardisation processes and redistribution algorithms developed for GBD. To isolate the effects of personal health-care access and quality, we risk-standardised cause-specific mortality rates for each geography-year by removing the joint effects of local environmental and behavioural risks, and adding back the global levels of risk exposure as estimated for GBD 2015. We employed principal component analysis to create a single, interpretable summary measure-the Healthcare Quality and Access (HAQ) Index-on a scale of 0 to 100. The HAQ Index showed strong convergence validity as compared with other health-system indicators, including health expenditure per capita (r= 0.88), an index of 11 universal health coverage interventions (r= 0.83), and human resources for health per 1000 (r= 0.77). We used free disposal hull analysis with bootstrapping to produce a frontier based on the relationship between the HAQ Index and the Socio-demographic Index (SDI), a measure of overall development consisting of income per capita, average years of education, and total fertility rates. This frontier allowed us to better quantify the maximum levels of personal health-care access and quality achieved across the development spectrum, and pinpoint geographies where gaps between observed and potential levels have narrowed or widened over time. Findings Between 1990 and 2015, nearly all countries and territories saw their HAQ Index values improve; nonetheless, the difference between the highest and lowest observed HAQ Index was larger in 2015 than in 1990, ranging from 28.6 to 94.6. Of 195 geographies, 167 had statistically significant increases in HAQ Index levels since 1990, with South Korea, Turkey, Peru, China, and the Maldives recording among the largest gains by 2015. Performance on the HAQ Index and individual causes showed distinct patterns by region and level of development, yet substantial heterogeneities emerged for several causes, including cancers in highest-SDI countries; chronic kidney disease, diabetes, diarrhoeal diseases, and lower respiratory infections among middle-SDI countries; and measles and tetanus among lowest-SDI countries. While the global HAQ Index average rose from 40.7 (95% uncertainty interval, 39.0-42.8) in 1990 to 53.7 (52.2-55.4) in 2015, far less progress occurred in narrowing the gap between observed HAQ Index values and maximum levels achieved; at the global level, the difference between the observed and frontier HAQ Index only decreased from 21.2 in 1990 to 20.1 in 2015. If every country and territory had achieved the highest observed HAQ Index by their corresponding level of SDI, the global average would have been 73.8 in 2015. Several countries, particularly in eastern and western sub-Saharan Africa, reached HAQ Index values similar to or beyond their development levels, whereas others, namely in southern sub-Saharan Africa, the Middle East, and south Asia, lagged behind what geographies of similar development attained between 1990 and 2015. Interpretation This novel extension of the GBD Study shows the untapped potential for personal health-care access and quality improvement across the development spectrum. Amid substantive advances in personal health care at the national level, heterogeneous patterns for individual causes in given countries or territories suggest that few places have consistently achieved optimal health-care access and quality across health-system functions and therapeutic areas. This is especially evident in middle-SDI countries, many of which have recently undergone or are currently experiencing epidemiological transitions. The HAQ Index, if paired with other measures of health-systemcharacteristics such as intervention coverage, could provide a robust avenue for tracking progress on universal health coverage and identifying local priorities for strengthening personal health-care quality and access throughout the world. Copyright (C) The Author(s). Published by Elsevier Ltd.Peer reviewe

A Dirty Window: Diffuse and Translucent Molecular Gas in the Interstellar Medium (Astrophysics and Space Science Library)

This book provides an introduction to the physics of interstellar gas in the Galaxy. It deals with the diffuse interstellar medium which supplies a complex environment for exploring the neutral gas content of a galaxy like the Milky Way and the techniques necessary for studying this non-stellar component. After an initial exposition of the phases of the interstellar medium and the role of gas in a spiral galaxy, the authors discuss the transition from atomic to molecular gas. They then consider basic radiative transfer and molecular spectroscopy with particular emphasis on the molecules useful for studying low-density molecular gas. Observational techniques for investigating the gas and the dust component of the diffuse interstellar medium throughout the electromagnetic spectrum are explored emphasizing results from the recent Herschel and Planck missions. A brief exposition on dust in the diffuse interstellar medium is followed by a discussion of molecular clouds in general and high-latitude molecular clouds in particular. Ways of calibrating CO observations with the molecular hydrogen content of a cloud are examined along with the dark molecular gas controversy. High-latitude molecular clouds are considered in detail as vehicles for applying the techniques developed in the book. Given the transient nature of diffuse and translucent molecular clouds, the role of turbulence in the origin and dynamics of these objects is examined in some detail

Forces in Physics: A Historical Perspective

Force is one of the most elementary concepts that must be understood in order to understand modern science; it is discussed extensively in textbooks at all levels and is a requirement in most science guidelines. It is also one of the most challenging - how could one idea be involved in such disparate physical phenomena as gravity and radioactivity? Forces in Physics helps the science student by explaining how these ideas originally were developed and provides context to the stunning conclusions that scientists over the centuries have arrived at. It covers the history of all of the four tradit

Project ALEX: Teacher workshops on presenting physical concepts through improvised demonstrations and qualitative reasoning

We describe a physics pedagogy centered on everyday experience and qualitative reasoning that can be a useful supplement for students by linking more formal, separated parts of the traditional curriculum and provide a safety net for teachers in schools that do not have dedicated physics or chemical laboratories. We argue for an extension of practice, an enrichment of the presentation for both sides of the pedagogical transaction, not a radically new method or a replacement for the traditional Italian mode of instruction. This approach is even more relevant in these difficult times

Recovering the Star Formation Rate in the Solar Neighborhood

This paper develops a method for obtaining the star formation histories of a mixed, resolved population through the use of color-magnitude diagrams (CMDs). The method is applied to the derivation of the local star formation rate, analyzing the observations of the Hipparcos satellite through a comparison with synthetic CMDs computed for different star formation histories with an updated stellar evolution library. Parallax and photometric uncertainties are included explicitly and corrected using the Bayesian Richardson-Lucy algorithm. We find that the solar neighborhood star formation rate has a characteristic timescale for variation of about 6 Gyr, with a maximum activity close to 3 Gyr ago

Evidence of a weak galactic center magnetic field from diffuse low-frequency nonthermal radio emission

New low-frequency 74 and 330 MHz observations of the Galactic center ( GC) region reveal the presence of a large-scale (6° x 2°) diffuse source of nonthermal synchrotron emission. A minimum-energy analysis of this emission yields a total energy of ∼(φ(4/7) f(3/7)) x 10(52) ergs and a magnetic field strength of ∼ μ G (where φ is the proton to electron energy ratio and f is the filling factor of the synchrotron emitting gas). The equipartition particle energy density is 1.2(φ/f)(2/7) eV cm(-3), a value consistent with cosmic-ray data. However, the derived magnetic field is several orders of magnitude below the 1 mG field commonly invoked for the GC. With this field the source can be maintained with the supernova rate inferred from the GC star formation. Furthermore, a strong magnetic field implies an abnormally low GC cosmic-ray energy density. We conclude that the mean magnetic field in the GC region must be weak, of order 10 mG ( at least on size scales ≥ 125(n))

Prospective observational study of early respiratory management in preterm neonates less than 35 weeks of gestation

Abstract Background Current guidelines for management of respiratory distress syndrome (RDS) recommend continuous positive airway pressure (CPAP) as the primary mode of respiratory support even in the most premature neonates, reserving endotracheal intubation (ETI) for rescue surfactant or respiratory failure. The incidence and timing of ETI in practice is poorly documented. Methods In 27 Level III NICUs in the US (n = 19), Canada (n = 3) and Poland (n = 5), demographics and baseline characteristics, respiratory support modalities including timing of ETI, administration of surfactant and caffeine/other methylxanthines, and neonatal morbidities were prospectively recorded in consecutive preterm neonates following written parental consent. Infants were divided into three groups according to gestational age (GA) at birth, namely 26–28, 29–32 and 33–34 weeks. Statistical comparisons between groups were done using Chi-Square tests. Results Of 2093 neonates (US = 1507, 254 Canada, 332 Poland), 378 (18%) were 26–28 weeks gestational age (GA), 835 (40%) were 29–32 weeks, and 880 (42%) were 33–34 weeks. Antenatal steroid use was 81% overall, and approximately 89% in neonates ≤32 weeks. RDS incidence and use of ventilatory or supplemental oxygen support were similar across all sites. CPAP was initiated in 43% of all infants, being highest in the 29–32-week group, with a lower proportion in other GA categories (p < 0.001). The overall rate of ETI was 74% for neonates 26–28 weeks (42% within 15 min of birth, 49% within 60 min, and 57% within 3 h), 33% for 29–32 weeks (13 16 and 21%, respectively), and 16% for 33–34 weeks (5, 6 and 8%, respectively). Overall intubation rates and timing were similar between countries in all GAs. Rates within each country varied widely, however. Across US sites, overall ETI rates in 26–28-week neonates were 30–60%, and ETI within 15 min varied from 0 to 83%. Similar within 15-min variability was seen at Polish sites (22–67%) in this GA, and within all countries for 29–32 and 33–34-week neonates. Conclusion Despite published guidelines for management of RDS, rate and timing of ETI varies widely, apparently unrelated to severity of illness. The impact of this variability on outcome is unknown but provides opportunities for further approaches which can avoid the need for ETI